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MNY-19-20D9 01� 13P FR0�1:PROFESSIONRL ELECTRI 3E0 435 1182 T0:4252578857 P. 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 5 ,..19-0� <br /> 3200 CEDAR STREET, EVERETT. WA �38201 <br /> 425-257-8810 - FAX 425-257-8fi57 -www.everettwa.org �v�$-/�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��O,Z _ g�o. �lw<__� <br /> PROJECTADDRESS ' <br /> �OIvH fPP/J O`���ltC�i�'col POQ <br /> OwnBf MallAddross Clly Slate2lp Phone <br /> Tonanl Moli AdCreea Clly Slale?Jp Phone <br /> /� {� ��/e�.J`�.c J � �o2t ya-�_ <br /> Lo r.ts.o.s� �. � Y9 �r/��'v�_ GUA S J`�j 3Jo d d'.so <br /> E!c•clricol Conlraclor Mall Addrees Cily Slaln/Zlp Pnonc <br /> /��O f=6E.L'07 7 ��4 �S� .,, <br /> Slate License Number Co�itrect Prico of Work <br /> —G'-f�{-��c f <br /> Proposod Uae of Bulldinp Con(acl Person (Plan Rovlew) <br /> De,scription of Work lo f3o Done: _�i, r fc/� ii e w '�d A ,�Q7U� �+,��_¢ yv <br /> ��_ <br /> �7r.vei c �oi i N�J Cw.+ p�+c� _'�� • '� �/oa✓ <br /> NOT[: WIRIfJa IN NOI�-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAVS, W1C OR AC CADLE. r3 „ „ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I horeby cortlly fhet I havo reqd und oxem/nod fhls applicaflon end kncw tho same(u be lruo end C�J� ' �v2 <br /> ivhof ier spaci�d hercror�ri o�not ndhe B�renf np of n porn9t doos nof prosumo�(o�Ivo aullionty fo <br /> v/olofa or cnncv/lhs provlsion�cl any ofhor stale or locol le�ro�rogu/a0ngpconstrvct/on orfhe <br /> wornic�opwiil ch ap�ll nNoncls n,edo end I comopryed 6 f���a 8(atto Con(rocfcsplo v�D 27 RCW anJ <br /> 29fi.200 WAC. <br /> �� /.�-�_ s= is-a�' <br /> S�pn;,luro Date <br />